Individual
JAMES LAWRENCE BOKLAGE SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN-C
Contact information
Practice address
1113 DEER HVN, FRANKFORT, KY 40601-5205
(502) 545-8382
Mailing address
1113 DEER HVN, FRANKFORT, KY 40601-5205
(502) 545-8382
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
3007047
KY
Other
Enumeration date
07/27/2011
Last updated
07/27/2011
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